| NPI | 1104870922 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-19 |
| Last Updated | 2018-09-11 |
| Authorized Official | Michael Gardner Finance Director Phone: 8028552080 |
| Mailing Address | 71 Allen St, Suite 403 Rutland, VT 05701-4570 United States Phone: (802) 772-4414 | Fax: (802) 772-7973 📍 View Map |
| Primary Practice Address | 278 Vt Route 149 West Pawlet, VT 05775-9798 United States Phone: (802) 645-0580 | Fax: (802) 645-0587 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 03044048 | — |
| MEDICAID | VT | 1010850 | — |
| Other (non-Medicare) | VT | 471816 | Nat'l Gov Services |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | — | — |
| Yes | 207Q00000X – Family Medicine | — | — |
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About NPI 1104870922
Community Health Centers Of The Rutland Region, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104870922. The primary specialty listed is Family Medicine. The organization is located in West Pawlet, VT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104870922?
NPI 1104870922 belongs to Community Health Centers Of The Rutland Region, Inc., a Family Medicine in West Pawlet, VT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104870922 active?
The current status of NPI 1104870922 in the NPPES registry is Active. The record was last updated on 2018-09-11.
What specialty is NPI 1104870922?
NPI 1104870922 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104870922?
You can verify NPI 1104870922 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104870922?
The primary practice address on file for NPI 1104870922 is 278 Vt Route 149, West Pawlet, VT 05775-9798. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104870922 issued?
NPI 1104870922 was first issued (enumerated) on 2006-05-19. The NPPES record was last updated on 2018-09-11.
Practice Location Map
Community Health Centers Of The Rutland Region, Inc. is located at 278 Vt Route 149, West Pawlet, VT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Community Health Centers Of The Rutland Region, Inc.. All records sourced from the CMS NPPES registry.